HomeMy WebLinkAbout0041027-Building 7
CITY OF OSHKOSH N9 41027
PERMIT APPLICATION AND RECORD
TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS I w 1-/CAI /ezi) WA PLAN NO. O/ i')'/ fi2P
LL
OWNER L)SC r L Ocv.772cx.f1J
DESIGNER
U /NATURE OF WORK Ai _S a4 /Ly.f i ATr uiG 4I24
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BUILDING CONTRACTOR (..).S Chi
Size ii&-, Sq. Ft. /8'39 Rooms S 3BR Stories `-t"' AD Height !c a,..‘ t
Foun Co�CR Class of Const. g Occupancy Permit
HEATING CONTRACTOR 21/f6 W6le
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR el Ye /AJ
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ST- P(
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
_WC FDr _SP Ur _Storm Sewer
_Sink LTub Eject SS Water
Other
FEES: Valuation S Permit Fee Paid M 90 SO Park Dedication
ISSUED BY Date R.//a/q/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r y
AGENT /OWNER DATE
ADDRESS
TELEPHONE
5og Fa O g \S4 nkk
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT Q aq
Safety and Buildings Division
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
PERT IT B STE
�:UEI
C Co onstr HVAC Elec Plb E rosion Other:
Ow s Name Mailing Address Telephone No. (include area code)
�/h 077 An 0) Path w'1) £L 3 SZ0 3
Contractor s Name Mailing Address Telephone No. (include area code)
Lot Ar
ea
RO;J C" IOCA O
Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Buildi g Address Subdiv ion Na e Lot No. Block No.
Zoning District(s) Zoning ermit N.. f Front Rear Left Right
g
Setbacks 5 ft. I /06 1 ft. 6 ft. ZO ft.
V i i y(.� y(y:= i :.y.,.... :;;:.asi: i2: <i is i fi:: is `::i:i: ?t>
.y: �4. T��� '.1111�:V.•: y ]��y]�
ew Repair 1 ingle Family Entrance Panel Iorced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: D O. amp Radiant Baseboard or Panel Gas
Addition Move Garage Service: Heat Pump Space Htg 0
Other (print): Enderground Boiler
Overhead Central Air Conditioning Water Htg
Other Other 0 Dwelling unit will have 3 kilowatt or
5#>:.- A' R more installed electric s ace heatin equip.
Site Constructed oncrete P heating
''�sN�MI.�M>. Infiltration control option is Full sealing
Manufactured ❑M
rs:j A; }!ED of joints. ❑Blower door test. ❑Exterior
❑Treated Wood Sew air infiltration barrier.
❑Othe uniapal
Unfinished Basement 4 /8A Sq. ft-
❑Septic s:: ::NR75'It::1
1 Story
Living Area r 832. Sq. ft. Permit No. Envelope BTU /HR
q 2 -Story ❑Seasonal 8 BTU /HR
i_ »�s #s:<> ia5 Infiltration
ft he
Garage 5'06 S rmanent
q unici al Utility P
❑Other Y �..0��� II.��, 0'
lus Basement Private On -Site Well C5-610O
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability, express or implied, on th epartment or municipality; and certifies that all the above informati n is ccurate.
APPLICANT'S SIGNATURE 1 I DATE SIGNED g fel
APPROVAL CONDITIONS This permit ation of is issued
this prursuantpermit or otto e the following penalty
conditions. Failure to comply may result in uspension or
h
14 IWS'CAC.. Sots e:sot:4J VWEAScsitti Z t Lk-Vit 21. 1
Z 0 `i�2►�tS1. 'TT2�iSS AI O(V ��S t'r Ai' `F}MM l� l l__Cp�G?'lc�rt.,
3.1 tt., I5R .NEg'CiAl eJ\L
Town
Village a e
C t Coun
St of: 9 ate o Munici li
Y County Municipality Number of Dwelling Location:
P Y o
�I C o 'Z 6 6
Plan Review Y0 Construction
Inspection HVAC Name
Wis. Permit Seal eZ0 Electrical �I f
1 6 l l
Other Plumbing Date
Erosion I U j Q_ fr
Total Cert. No 9 61g
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
Q BD 0
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: k y Si Lo HEA I t \EL W ZONING
PROPERTY ONER/CONTRACTOR: V.D
CONSTRUCTION DATA: ?New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
keA)\ Stt€,,-LE mk
COMPLIANCE CHECKLIST 2
DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval T60/144,4,-----
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval all plans, except the following: (1) Alterations or interior work when the use is
conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is conforming and when no change is proposed.
PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY DATE: f 7,
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20'
to'
rauc I
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A/C 3 r=zs'
Matey? Thv'
city Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
I
Address Pig/ WI/C/fTfiEw
Owner's Name Fusetl
Name of Subdivision OE 77 E M 5i(2/94S
Lot l bo Bldg. Permit qiag
No. of Units
Fee Required j i/C0
Fee Paid /00
Owner's signcture h Date
q
Inspector's signature IM// Date SAQ/P:e
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
CATE g/l
NAME USC.N ADDRESS
LOT l ba BLOCK
e 8,0(47 WARD
SUe01`�. C TZV// F<TRA13 ZONE
STREET NO. -I Q W IICArfTa) LAJA(Q LOT DIMENSIONS
SIDEWALK EXISTING YES NO EI--"
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 2/ ,Ig BY
FEE; $15.00
L 2 1r;A'C A&'
DEPARTMENT OF PUBLIC 'WORKS
I, the undersigned, owner or agent of the above described operty agree to have the
grade estabiished before excavation has commenced.
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